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1295179893
CALVIN J CLARK
NORTH LAS VEGAS, NV
NPI
1295179893
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
Yes
Primary Taxonomy
251S00000X Community/Behavioral Health
Enumeration Date
2013-04-25
Last Update Date
2013-04-25
Business Address
Mr. CALVIN J CLARK
2205 SPANISH TOWN AVE
NORTH LAS VEGAS, NV 89031-0903
Phone number: 702-658-9563
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Mailing Address
Mr. CALVIN J CLARK
1020 MAPLE PINES AVE
NORTH LAS VEGAS, NV 89081-6802
Phone number: 419-699-6156
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